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The document is an admission form for Asmita College of Architecture for the academic year 2018-2019. It provides details about the student such as their name, address, contact information, family details, previous academic performance, and signatures. The form notes that the fees have not been paid and warns that admissions may be cancelled if necessary documents are not provided.

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Attarwala Abdulqadir Hashim Farida
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48 views1 page

Web Form

The document is an admission form for Asmita College of Architecture for the academic year 2018-2019. It provides details about the student such as their name, address, contact information, family details, previous academic performance, and signatures. The form notes that the fees have not been paid and warns that admissions may be cancelled if necessary documents are not provided.

Uploaded by

Attarwala Abdulqadir Hashim Farida
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Non-Teaching Staff: Student ID: 17010004A Roll No: Fees Paid:

Asmita College of Architecture


At N. H. English Academy Campus,
Asmita Enclave,
Mira Road (E) 401107,
Thane, Maharashtra , INDIA

ADMISSION FORM FOR   THIRD YEAR ARCHITECTURE    2018-2019         Student ID: 17010004A

Full Name: ATTARWALA ABDULQADIR HASHIM FARIDA


Address: 81, Mohammed Ali Road, Lehri House , 4th Floor, Room No 45, Mumabi 400003
Mobile No: 9619946451 Phone No:
Email ID: hashimattarwala@gmail.com Date of Birth: March 06, 1997
Birth Place: Bloodgroup: B +ve
Category: OPEN Caste: Muslim
Nationality: Domicile:
Religion: Gender: Male
Married/Unmarried: Married Physically Challanged: -
Aadhar No: 287796032849 Voter ID: -
Father Occupation: Business Tel No: 9820466121
Business/Service Address: 60 Abdulrehman street mohammadali road mandvi mumbai 400003
Mother Occupation: House Wife Tel No: 9930459925
Business/Service Address:
No.of Persons in Family: 5 Annual income of the 300000
family:
Earning: 1 Non-Earning: 4
Have You Applied for No Whether a Member of No
Scholarship/Freeship: NCC/NSS:
Proficiency acquired in Extra curricular Activities: -
SEM I CE: 31 SEM II CE: 36 SEM III CE: 27 SEM IV CE: -
Declaration by Student:I hereby declare that, I have read the rules related to admission and the information filled by me in this form is accurate and true to the best of my knowledge. I will be
responsible for any discrepency, arising out of the form signed by me and I undertake that, without necessary documents the final admission will not be granted and/or admission will stand
cancelled. will not be granted and/or admission will stand cancelled.
Note: In case of backward class, Freeship/Scholarship subject to sanction by Govt.
They will not be allowed change of stream.
Students writing any negative and offensive remark about any staff member or institution on any social networking website may be booked under cyber crime law, Indian I.T Act 2000.

Student's Signature Parent's Signature

Asmita College of Architecture


Mira Road (E) 401107,

Name of Applicant: ATTARWALA ABDULQADIR HASHIM FARIDA


Admission Couse: THIRD YEAR ARCHITECTURE Student ID: 17010004A
Academic Year: 2018-2019 Form Fees: ₹ 100/-
Payment Status: Unpaid.

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